Senate Committee on Finance; Senate Committee on Appropriations: Labor, Health, Education and Welfare Subcommittee. Authority: Social Security Act (P.L. 74-271, title II, XVIII). Availability: Internal Use Only; Remarks--used for congressional inquiries. Geographic Relevance: National Purpose: The purpose is to receive and abstract cost reports for home health agency type Medicare provicers of Part A benefits. It generates a periodic listing of data, creates aberrant provider profiles, and produces a TABGEN compatible tape used for statistical analyses. These data are utilized to answer inquiries from outside Government organizations, i.e., the Congress. In addition, aberrant provider costs are investigated by fraud and abuse personnel. Statistical studies are undertaken to determine trends in Medicare costs. Input: Statements of Medicare reimbursable costs are abstracted by the Bureau of Health Insurance. The cost statements are prepared annually by providers of Medicare services and serve as the basis for Part A Medicare reimbursement. Content: The system produces, for a given fiscal year by intermediary sequences a profile of provider's cost statements. These statistics serve to identify cost aberrancies by segregating and identifying those providers which fall above a given percentile for any given category for which costs can be identified, e.g., laundry, nursing, depreciations. The data base is updated at the time final settlement is made by the fiscal intermediary. This corresponds to the provider's fiscal year end. In addition, a TABGEN compatible tape is produced which enables the user component to conduct statistical studies in a time share mode. This method is utilized to answer inquiries from other components. Output: Hardcopy output is tables segregated by fiscal intermediary. These reports are produced yearly. Reports include statistical analyses and aberrancy profiles. In addition, a type output is produced which is compatible with a time share system. This gives the capability of conducting statistical studies on an as needed basis. Agency Contact: Health Care Financing Administration. (301) 594-8094. S00524-020 Chronic Renal Disease (CRD) History File. OMB Funding Title/Code: Federal Supplementary Medical Insurance / 20-8004-0-7-551; Federal Hospital Insurance Trust Fund / 20-8005-0-7-551. Program: Administration Congressional Recipient: House Committee on Ways and Means; Senate Committee on Human Resources; House Committee on Appropriations: Labor-Health, Education and Welfare Subcommittee; Senate Committee on Finance; Senate Committee on Appropriations: Labor, Health, Education and Welfare Subcommittee. Authority: Social Security Act (P.L. 74-271, title II, XVIII). Availability: Agency Contact; Remarks--publicly available under Privacy Act. Geographic Relevance: National; State; County; Other--regions Purpose: This system provides timely data for administrative and research purposes to the Administration in measuring and evaluating the care furnished to all beneficiaries with chronic renal disease. Records of any beneficiary, aged or disabled, who is identified as having CRD are reviewed on a post- payment basis and maintained in a specially developed history file. Input: Input consists of a health insurance skeleton writeoff which supplies the entitlement record for CRD beneficiary, and the weekly health insurance master file (WHIM), which supplies the edited, paid bill, payment record, and charge and service information records by CRD beneficiary and patient histories. The data from the beneficiary files are outputs from the various HI processing systems. Content: The file includes all beneficiaries who have chronic renal disease and who are protected under other provisions of the Medicare law. The HI master record flags the Medicare beneficiaries identified from other sources as having CRD. Records contain State, county, and region indicators for producing statistical data pertaining to program utilization on that basis. Records are updated monthly and quarterly. Output: Output is statistical tables. Part I-utilization of Program Statistics (18 tables) - based on data derived from basic billing forms plus the Medicare chronic renal disease charge and service information form. Part II-utilization of physicians' and other medical services - provides program statistics on the use of physicians' and other medical services. All tables are prepared on hardcopy. Agency Contact: Health Care Financing Administration. (301) 594-8667. S00524-021 Beneficiary Utilization and Master File Maintenance. OMB Funding Title/Code: Federal Supplementary Medical Insurance Trust Fund / 20-8004-0-7-551; Federal Hospital Insurance Trust Fund / 20-8005-0-7-551. Program: Benefit Payments Congressional Recipient: House Committee on Ways and Means; Senate Committee on Human Resources; House Committee on Appropriations: Labor-Health, Education and Welfare Subcommittee; Senate Committee on Finance; Senate Committee on Appropriations: Labor, Health, Education and Welfare Subcommittee. Authority: Social Security Act (P.L. 74-271, title II, XVIII). Availability: Agency Contact; Remarks--publicly available under Privacy Act. Geographic Relevance: National Purpose: The systems objectives are: 1) to establish and maintain records for Medicare beneficiaries reflecting entitlement/utilization data; 2) to provide health insurance cards to beneficiaries; 3) to provide eligibility and deductible status to carriers/intermediaries who query Medicare files for such data; and 4) to process payment and bill records submitted by carriers/intermediaries as a result of the query process. Input: Entitlement information is received from the Master Beneficiary Record by way of the Postentitlement System. Utilization information is received from Medicare carriers (Part B queries and payment records) and intermediaries (Part A admission notices and provider bills). Content: The Health Insurance Master Record contains the entitlement and utilization information of approximately 30 million Medicare beneficiaries. This file is updated daily and includes data dating back to the beginning of the Medicare program in 1966. Output: The Health Insurance Master File contains all information necessary to respond to queries from Medicare carriers and intermediaries. These queries, which are processed daily, concern both eligibility and deductible status. The replies are transmitted to the initiating carrier or intermediary via teleprocessing facilities. Health insurance cards and Notices of Utilization are printed and mailed directly to the appropriate beneficiary. Agency Contact: Health Care Financing Administration. (301) 594-5936. S00524-022 Medicaid Analytical System (Medibase). OMB Funding Title/Code: Grants to States for Medicaid / 75-05120-1-551. Program: Medicaid Congressional Recipient: House Committee on Appropriations: Labor-Health, Education and Welfare Subcommittee; House Committee on Education and Labor; Senate Committee on Appropriations: Labor, Health, Education and Welfare Subcommittee; Senate Committee on Human Resources. Authority: Social Security Act (P.L. 74-271). Purpose: The system includes the following data: Medicaid financial and statistical data, Aid for Dependent Children and Supplemental Security Information welfare recipient counts, State fiscal data, unemployment data, census data, and Consumer Price Index indices. The EXPRESS analytical system is used to manipulate the data and provide statistical backup. The system can provide scheduled, highly formatted reports, as well as ad-hoc reports used by analysts. The system is highly adaptable to unexpected reporting needs. Two types of users are anticipated: analysts and program management. The system can be used to generate program statistics for an analysis, as well as to provide finished program data reports to higher management. Input: The input consists of State submitted data to the Medicaid program (Forms NCSS 2082, NCSS 120, OA 41.9, OA 41.10, OA cover sheet, OA 25.5 and OFM 65) and data submitted to the welfare system (NCSS 2078.1, NCSS 2079, Social Security Bulletin) from other sources including unemployment data and consumer price indices from the Department of Labor, State governments data, and census data from the Department of Commerce. Content: The Medicaid statistics comprise the principal subject matter; the auxiliary data enumerated above assist in modeling and costing applications. The update cycle (in principle) is keyed to the input form's update cycle. The data base currently consists of 9 to 10 million numerical data items. The EXPRESS package provides a convenient, flexible, and comprehensive statistical and analytical tool for the analysis and reporting needs of the Medicaid program. Both on-line and batch operation are possible. Output: Outputs from this system include: State assessment reports; data on the Medicaid program, including eligibility, services, and expenditures; and analytical reports. Agency Contact: Health Care Financing Administration. (301) 574-9101. S00524-023 Medicare Utilization System. OMB Funding Title/Code: Federal Health Insurance Trust Fund / 20-8005-0-7-551; Federal Supplementary Medical Insurance Trust Fund 20-8004-0-7-551. Program: Medicare Congressional Recipient: House Committee on Ways and Means; Authority: Social Security Act (P.L. 74-271). Geographic Relevance: National; State; SMSA; County; City Purpose: This system was designed to provide data to measure utilization of all types of Medicare services on an ongoing current basis; to prepare reports to be published by ORDS; and to provide reasonably quick access to data necessary to answer special requests for information. Information is provided to outside requestors, consistent with the provision of the Privacy Act and Freedom of Information statutes. Input: Inputs to the system include: billing and beneficiary demographic information from BDP, SSA; provider data from MMACS system processed by ODD, OMA; Part B carrier based on-line item information contained on Forms SSA-1490 and SSA-1556; HISKEW data from ODD; CRD beneficiary history file; billing information from BDP, SSA; HI and SMI administrative records; GPPP forms 1590-1591; admission notices records; Part A Statistical Sample cards; bill records and narrative records from BDP, SSA; a 20% sample National Medicare discharge file; and a provider of services file. Content: The system provides data on utilization of Medicare benefits by type of benefit and demographic characteristics of persons using services. Data are produced on hospital and skilled nursing facility length of stay; Home Health visits; renal dialysis facilities; physician services; diagnosis and surgery (on a sample basis); outpatient services; and related charges, deductibles, and coinsurance. The files are updated continually. Output: Output from this system includes numerous tables prepared monthly, quarterly, and annually on utilization of Medicare service; tables for publication; special data files (magnetic tape); articles on specific subjects published in several HCFA Publication Series according to nature and scope of subject; and research notes. The system has query capability. Agency Contact: Health Care Financing Administration. (202) 245-2184. S00524-024 Professional Standards Review Organization Management Information System (PMIS). OMB Funding Title/Code: Public Assistance / 75-0581-0-1-550; Health Services / 75-0350-0-1-551; Federal Hospital Insurance Trust Fund / 20-8005-0-7-551. Program: Professional Standards Review Organizations; Medicaid; Maternal and Child Health Congressional Recipient: House Committee on Appropriations: Labor-Health, Education and Welfare Subcommittee; House Committee on Education and Labor; Senate Committee on Appropriations: Labor, Health, Education and Welfare Subcommittee; Senate Committee on Finance; Senate Committee on Human Resources. Authority: Social Security Act (P.L. 74-271). Public Health Service Act (P.L. 78-410). Geographic Relevance: Other--PSRO Area Purpose: This system assists all levels of the Professional Standards Review Organizations (PSRO) program in the monitoring and assessment of their activities; identifies the technical assistance needs of each PSRO; and contributes to PSRO funding decisions. The scope of coverage is beneficiaries of the Medicare, Medicaid, and Maternal and Child Health program discharged from short-term general hospitals and PSRO projects. Input: All inputs to the system are provided by PSRO's. The information is obtained from patient medical records and PSRO and hospital cost and activity records. The major types of data collected are the number of utilization and quality assurance reviews; dates of hospital admission and discharge; review outcomes; medical care evaluation study methods and outcomes; demographic, medical services, and review data on Federally reimbursed hospital discharges; and data on the cost of PSRO review activities. Content: The PMIS includes information on all discharges reimbursed by the Medicare, Medicaid, and Maternal and Child Health programs and reviewed by PSRO. This information includes demographic and medical data on individual discharges. No individual identifiers are contained in the system. In addition, aggregate information on the review process and its costs is also included in the data base. Approximately 15,000 records which contain aggregated information on PSRO's are entered into the data base each quarter. Currently, 3 million records on individual discharges are entered each quarter, but when the PSRO program is fully implemented, over four million individual records will be entered per quarter. Aggregated reports on review activity and records on individual review are received quarterly. Descriptive information on PSRO's is submitted once each year. Output: Outputs from this system include descriptions of project activity quarterly, reports on costs of project activity quarterly, and information on patient characteristics semi-annually, each produced quarterly in hardcopy. Agency Contact: Health Care Financing Administration. (301) 597-1004. S00524-025 End Stage Renal Disease Medical Information System (ESRD-MIS). OMB Funding Title/Code: Public Assistance / 75-0581-0-1-550. Program: Medicare Congressional Recipient: House Committee on Appropriations: Labor-Health, Education and Welfare Subcommittee; House Committee on Ways and Means; Senate Committee on Appropriations: Labor, Health, Education and Welfare Subcommittee; Senate Committee on Finance. Authority: Social Security Act (P.L. 74-271). Social Service Amendments (P.L. 93-647). Availability: Agency contact Geographic Relevance: City Purpose: The purpose of this system is to support the implementation of Section 2991 of P.L. 92-603 and to provide timely information which will contribute to improved end stage renal disease (ESRD) program and patient management, utilization of resources, quality of care, and overall medical care appraisal. The scope of coverage of the system is all transplant and dialysis facilities approved for Medicare reimbursement and all ESRD patients covered by Medicare, in addition to VA hospitals in the aggregate only. Input: The sources of input for the system are applications for Medicare ESRD benefits, patient records at ESRD facilities, and Medicare master files. The major categories of input data are: demographic, diagnostic, treatment plan, services, billing, medical history, mortality, treatment outcome, and health status information on ESRD patients, and facilities characteristics and services characteristics on ESRD facilities. Content: The principal subject matter of the system deals with the End Stage Renal Disease program and its beneficiaries and facilities approved by Medicare to provide care to those beneficiaries. Sufficient information is maintained in the system to allow assessment by all program and project management levels of the progress of the program in meeting its objectives and to plan for future modifications in the program. The information maintained in the system includes demographic data, diagnosis, treatment plan, services, billing, medical history, mortality, treatment outcome, and health status information on ESRD patients and facility characteristics and descriptions of services offered by facilities certified by Medicare to provide ESRD services. Records on approximatley 80,000 ESRD patients and 1,000 ESRD facilities are contained in the system. Information on individual patient events is submitted as the events occur. Information on facility characteristics is submitted annually. Output: The following reports are produced semi-annually in hardcopy format: summary of patterns and trends in ESRD treatments, summary of patterns and trends in the effect of ESRD treatments on ESRD patient outcomes, and summary data on ESRD facilities. Agency Contact: Health Care Financing Administration. (301) 594-8667. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT S00600-001 Purpose: This is a management control system for use by the Office of the Secretary, which provides a method of recording and tracking HUD's goals as identified by the various Assistant Secretaries. It produces a directory of these departmental priorities. Its function also includes establishing a basic work plan to accomplish the Department's goals and allocates and controls the Department's resources. Input: Various data systems in existence in the Department are utilized to provide the basic goal and workload accomplishment data. In some special instances, interim reporting systems have been utilized until a fully compatible data retrieval system is implemented. The Departmental Trend and Productivity Reporting System provides staff-usage data for all field organizations. Content: Data content focus is upon program objectives, work plan milestones, project(s) status, and resource allocation. Information related to these categories of data is updated monthly. Output: A directory of management goals lists tasks and their status. In addition, a monthly status report is generated by the system. The report shows progress against goals, and quarterly reports of workload accomplishment and staff usage are produced. Agency Contact: (202) 755-5190. S00600-002 Debarment System. OMB Funding Title/Code: Salaries and Expenses, HUD / 86-01430-1-604 / 86-0143-0-1-450 / 86-0143-0-1-371. Program: All Programs Congressional Recipient: House Committee on Banking, Finance and Urban Affairs; House Committee on Appropriations: HUDIndependent Agencies Subcommittee; Senate Committee on Banking, Housing and Urban Affairs; Senate Committee on Appropriations: HUD-Independent Agencies Subcommittee. Authority: Housing Act of 1948 (P.L. 80-901, § 502). Availability: Reports are for internal use only. Limited Distribution is made to the Veterans Administration and General Services Administration. Purpose: This system provides recurring updated listings of contractors and grantees debarred from, ineligible for, or suspended from recurring awards by the Department. The reason for the actions, extent of restrictions, and cross-reference of individuals and companies are reflected. Input: Data Transcription Sheets on contractors and grantees debarred, ineligible, or suspended from HUD awards are input. Content: Content includes the reason for the actions, extent of restrictions, and cross-reference of individuals and companies. Information is also organized according to these categories: debarred, contractors, grantees, suspended, ineligible, and termination date. Output: A Joint Consolidated Listing reflects contractors and grantees debarred, suspended ineligible, and/or terminated. Agency Contact: (202) 755-5884. S00600-004 Library Periodicals Control System. OMB Funding Title/Code: Salaries and Expenses, HUD / 86-01430-1-604 / 86-0143-0-1-450 / 86-0143-0-1-371. Program: All Programs Congressional Recipient: House Committee on Banking, Finance and Urban Affairs; House Committee on Appropriations: HUDIndependent Agencies Subcommittee; Senate Committee on Banking, Housing and Urban Affairs; Senate Committee on Appropriations: HUD-Independent Agencies Subcommittee. Authority: Housing Act of 1948 (P.L. 80-901, § 502). Purpose: This system provides a control of periodicals received by the HUD Library. Input: Periodicals publication information are sources of information. Content: Periodicals, publishers, vendors, and library data comprise information content. Output: Principal reports include a published list of periodicals, including the names and addresses of publishers and vendors. Another product of the system is a list reflecting the disposition of filing location of the periodical within the library which is used as a directory for both filing and retrieving the material. Agency Contact: (202) 755-5884. S00600-005 Library 701 Reports Control System. OMB Funding Title/Code: Salaries and Expenses, HUD / 86-01430-1-60486-0143-0-1-450 / 86-0143-0-1-371. Program: All Programs Congressional Recipient: House Committee on Banking, Finance Geographic Relevance: National; State; Other--HUD Regional Office Purpose: This system supports the library in cataloging HUDsponsored planning reports. Input: HUD planning reports comprise system input. Content: The content includes specific planning reports and selected library cataloging data. Reports are grouped by State and regional office. Output: Principal system output includes dissemination of the technical planning and research information contained in the HUD-sponsored 701 Planning Reports to HUD users and outside client groups. Routine, statistical, and selected reports reflect accession number, geographic code, keywords in context, and a word list. Agency Contact: (202) 755-5884. S00600-006 Treasury Reporting System. OMB Funding Title/Code: Salaries and Expenses, HUD / 86-01430-1-604 / 86-0143-0-1-450 / 86-0143-0-1-371. Program: All Programs Congressional Recipient: House Committee on Banking, Finance Purpose: This system receives data from the Insurance in Force and Title I Systems to reconcile scheduled deposits, disbursements, and certificates of deposit with Treasury confirmed transactions. Input: The primary input source documents are Certificate of Deposit; Debit Vouchers; Schedule of Withdrawals and Credits; Voucher and Schedule of Withdrawals and Credits; Schedule of Cancelled Checks; Voucher and Schedule of Payments; and Miscellaneous Deposits and Disbursements. Content: Mortgage Insurance, Title I Loans, Insurance in Force, Certificates of Deposit, Scheduled Deposits, and Disbursements comprise information content. Output: The system produces magnetic tape output representing confirmed deposits for forwarding to the Treasury Department. The output includes a list of confirmed certificates of deposit and debit vouchers, deposit and debit tape file, and various accounting reports. Agency Contact: (202) 755-5884. S00600-007 Acquired Home Property Phase I System. OMB Funding Title/Code: Federal Housing Administration Fund / 86-4070-0-3-371. Program: All Programs Congressional Recipient: House Committee on Banking, Finance and Urban Affairs; House Committee on Appropriations: HUDIndependent Agencies Subcommittee; Senate Committee on Banking, Housing and Urban Affairs; Senate Committee on Appropriations: HUD-Independent Agencies Subcommittee. Authority: National Housing Act of 1934, as amended (P.L. 73479). Housing and Urban Development Act of 1968 (P.L. 90-448). Housing and Community Development Assistance Act of 1974 (P.L. 93-383). Housing Authorization Act of 1976 (P.L. 94-375). Availability: Reports are for internal use only. Distribution is by HUD. Geographic Relevance: State; Other--HUD Regional/Area Office Purpose: This system records the acquisition cost of properties acquired incident to the payment of FHA insurance claims, and effects the computation of claims settlement amounts. Data are provided through automated interface to the Insurance in Force System for use in terminating insurance on properties insured by FHA. An automated interface is further provided with the Acquired Home Property Phase II System which permits the establishment of records of expenses incurred against acquired properties. Input: Input sources are: 1) Notice of Property Transfer and Application for Insurance Benefits, 2) Assignment of Undivided and Application for Insurance Benefits, 3) Application for Insurance Benefits and General Assignments, 4) Insurance Claim Settlement Statement and Voucher Assigned Home Mortgage or Insured Loan, 5) Mortgage Insurance Claim Settlement Statement (Conveyed Home Property), and 6) Schedule of Tax Information. Content: Information includes acquired home properties, acquisition costs, FHA insurance claims, default terminations, and expenses incurred. Geographic data elements include State, HUD regional office, HUD area office, and HUD insuring office codes. Output: The principal output consists of mailing labels, summary of acquisitions, master file listing, disbursements tape file, and various accounting reports. Agency Contact: (202) 755-5884. S00600-008 Acquired Home Property Phase II System. OMB Funding Title/Code: Federal Housing Administration Fund / 86-4070-0-3-371. Program: All Programs Congressional Recipient: House Committee on Banking, Finance and Urban Affairs; House Committee on Appropriations: HUDIndependent Agencies Subcommittee; Senate Committee on Banking, Housing and Urban Affairs; Senate Committee on Appropriations: HUD-Independent Agencies Subcommittee. Authority: National Housing Act of 1934, as amended (P.L. 73479). Housing and Urban Development Act of 1968 (P.L. 90-448). Housing and Community Development Assistance Act of 1974 (P.L. 93-383). Housing Authorization Act of 1976 (P.L. 94-375). Availability: Reports are for internal use only. Distribution is by HUD. Geographic Relevance: State; Other--HUD Regional/Area Office Purpose: This system maintains records of all expenses incurred incident to acquisition, maintenance, and sale of properties acquired by HUD as a result of mortgage insurance claims and mortgage foreclosures. Automated interface is effected with the Acquired Home Property Phase I System to permit establishment of records upon which the recording of these expenses can be put into effect. Input: Data input sources are acquisition, reinstatement, repossession records, as well as sales data, notice of deletion, and inquiry printout on acquired properties. Content: Content pertains to acquired home properties, maintenance expenses, acquired home property inventory, and trial balance data. Geographic data elements include State, HUD regional office, and HUD insuring office codes. Output: Statement of accounting and various accounting reports are the principal output. Agency Contact: (202) 755-5884. S00600-010 Amortizations System. OMB Funding Title/Code: Federal Housing Administration Fund / 86-4070-0-3-371. Program: All Programs Congressional Recipient: House Committee on Banking, Finance and Urban Affairs; House Committee on Appropriations: HUDIndependent Agencies Subcommittee; Senate Committee on Banking, Housing and Urban Affairs; Senate Committee on Appropriations: HUD-Independent Agencies Subcommittee. Authority: National Housing Act of 1934, as amended (P.L. 73479). Housing and Urban Development Act of 1968 (P.L. 90-448). Housing and Community Development Assistance Act of 1974 (P.L. 93-383). Housing Authorization Act of 1976 (P.L. 94-375). Availability: Reports are for internal use only. Distribution is by HUD. Geographic Relevance: Other--HUD Area Office Purpose: This system prepares the amortization schedules for the Department's mortgage insurance programs. Input: Amortization work sheets are the system's input. Content: The system computes the payment to interest, the amount to be applied to principal, and the amount of annual Mortgage Insurance Premium. The system also computes the amount of interest reduction subsidy where appropriate. Specific categories of data include amortization schedule, interest, principal, mortgage insurance premium, and interest reduction subsidy data. Geographic data elements include HUD area office and HUD insuring office codes. Output: Amortization schedules are the principal output. Agency Contact: (202) 755-5884. |